1. Corporate objectives ~Improving patient safety and the patient experience ~ supporting key national targets ~ Improving partnership working Supporting external reviews ~ Peer review quality measures - Supportive and Palliative Care IOG Links to Darzi end of life review ~ Local Pathway Development Groups Supporting the organisation..delivering quality of care at End of Life

2. Improving End of Life care for patients ‘’To improve the quality of care at the end of life for all patients and enable more patients to live and die in the place of their choice’’ Aim …….

3. Excellent partnership working with community palliative care service ~ initiating palliative care at home services Improving End of Life care for patients SaTH Palliative Care Nurses …..part of a wider team None medical prescribers ~improved access to pain control and symptom management Discuss highly sensitive information on prognosis ~ provide understanding - giving control and dignity to patient and family Identify preferred place of care for EOL ~ facilitates advanced planning for EOL care ~ rapid access to equipment /avoid delay in discharge ~ accessing ‘just in case box’

4. New developments………. ~ Implementation of Liverpool Care Pathway to all ward across the Trust by December 08 ~ improving EOL for all patients on all wards ~ enhancing knowledge and skills of nursing and medical staff Improving End of Life care for patients

5. Planning for the future….. Avoiding unplanned admissions for patients at end stage of life ~ SaTH EOL admission audit Appointment of EOL facilitators (4.5 EOL posts) Aim ~ increase quality of the experience of EOL life care ~ increase number of avoided admissions ~ facilitate 75% of deaths in community not acute setting How ~ improve partnership working acute/ community services ~ integrating with existing teams not in isolation ~ inform commissioners on a model of EOL care for patients in Shropshire Improving End of Life care for patients